MUHAMMAD REZA PERKASA MARWALI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142165

License Status

ACTIVE

Business

Title

First Name

MUHAMMAD

Middle

REZA PERKASA

Last Name

MARWALI

Business Name

MUHAMMAD REZA PERKASA MARWALI MD

Original Issue Date

01/04/2017

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/09/2023